Lorelle Joy Tallent, PA
Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164064895
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1164064895
- Entity type
- Individual (NPI-1)
- Name
- Lorelle Joy Tallent
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2019
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601009622 | MI | Yes |
Other names
- Lorelle Joy Vanbeek (Former Name)
Practice location
2770 E Beltline Ave NeGrand Rapids, MI 49525-8614
Phone 616-267-8860
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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